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KIM M JACKSON LISW
NPI 1003126699
Social Worker - Clinical in Cleveland, OH

Active since October 15, 2010PECOS Enrolled
3500 CARNEGIE AVE, CLEVELAND, OH 44115(440) 260-8554 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim M Jackson Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM M JACKSON LISW (NPI 1003126699) is an individual clinical provider in Cleveland, Ohio, licensed in Ohio (I2506226) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003126699
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM M JACKSONCredential: LISW
Location Address3500 CARNEGIE AVECleveland, OH 44115-2641
Mailing Address3500 Carnegie AveCleveland, OH 44115-2641 · (440) 260-8554
Phone(440) 260-8554
Sole ProprietorNo
Enumeration DateOctober 15, 2010
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1003126699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I2506226
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3500 CARNEGIE AVE, Cleveland, OH 44115
Open in Google Maps ↗

Other Identifiers 1

Medicaid0268768OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim M Jackson Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA H GUTBROD QMHS BA
Community/Behavioral Health
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
KAYLEIGH BERENDT PRS
Peer Specialist
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
MELISSA J ALLEN QMHS 3YRS CMS
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
CARMELA HOWELL
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 234-2006
ANGELA BILANCINI
Social Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-6835
ARIANNE CAIN
Social Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8328
SABBRINA POMPEY
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 234-2006
HAYLIEGH TUCKER
Counselor
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 234-2006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Jackson's NPI number?

The NPI number for Kim Jackson is 1003126699. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Kim Jackson located?

Kim Jackson practices at 3500 Carnegie Ave, Cleveland, OH 44115. The listed phone number is (440) 260-8554.

What is Kim Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kim Jackson enrolled in Medicare?

Yes. Kim Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Kim Jackson accept?

Health plans from Molina Healthcare and Providence Health Plan list Kim Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Jackson was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.